ReviewCureus2025
Safety and Efficacy of Ultrasound-Guided Retrolaminar and Midpoint Transverse Process to Pleura Blocks Compared to Ultrasound-Guided Classic Paravertebral Block for Breast and Thoracic Surgery: A Systematic Review and Meta-Analysis.
Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
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Authors and funding
13 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The ultrasound-guided midpoint transverse process to pleura (MTP) block and retrolaminar block (RLB) have emerged as promising alternatives to the classic paravertebral block (PVB) for breast and thoracic surgery. This systematic review and meta-analysis of randomized controlled trials was conducted to compare the analgesic efficacy and safety of these newer techniques with the traditional PVB. Our pooled analysis revealed that MTP block and RLB offer early postoperative analgesic efficacy comparable to PVB. However, the MTP block/RLB group tended to have slightly higher pain scores with movement and greater cumulative opioid consumption in the first 24 hours. Regarding safety, all reported cases of pneumothorax or pleural puncture occurred exclusively in the PVB group. The enhanced safety profile and potentially simpler technique associated with the MTP block and RLB suggest that they may be valuable alternatives to the classic PVB in clinical practice.
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Registered trials
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